Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,162.28 / $8,511.38	Facility		$1,148.15	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,715.35	Professional		$1,380.38	$1,778.28	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $34,673.69	Facility		$4,168.69	$5,248.07	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $4,365.16	Professional		$2,238.72	$2,884.03	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $3,715.35	Professional		$1,445.44	$2,511.89	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $9,120.11	Professional		$1,659.59	$2,754.23	$9,120.11
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,511.89	Professional		$1,778.28	$2,187.76	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,801.89	Professional		$1,621.81	$2,187.76	$3,801.89